Department of Gerontology and Geriatrics, Leiden University Medical Center, Leiden, the Netherlands.
Emergency Care Research Core, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Age Ageing. 2022 Mar 1;51(3). doi: 10.1093/ageing/afab280.
As the world's population continues to age over the decades ahead, medical educators and researchers in every adult medical and surgical specialty will need to 'geriatricise' their clinical science. Many have already engaged with geriatrics. Here we describe the progress that has been made and the opportunities ahead in the field of Geriatric Emergency Medicine (GEM), a field that has taken large steps in integrating holistic care. Future opportunities exist in the three domains of evidence-based medicine: including patient preferences and needs, generating scientific evidence, and improving physician knowledge and expertise. Implementation requires new innovations also in the organisation of care. Similar strategies may be useful in other fields of medicine, in making holistic care the standard for older people.
随着未来几十年世界人口的老龄化，每个成人医学和外科专业的医学教育者和研究人员都需要将他们的临床科学“老年化”。许多人已经参与了老年医学。在这里，我们描述了老年急救医学（GEM）领域已经取得的进展和未来的机遇，该领域在整合整体护理方面迈出了很大的步伐。未来的机会存在于循证医学的三个领域：包括患者的偏好和需求、产生科学证据以及提高医生的知识和专业技能。实施还需要在护理组织方面的新创新。类似的策略在其他医学领域也可能有用，使整体护理成为老年人的标准。
